PMID- 18785960 OWN - NLM STAT- MEDLINE DCOM- 20090326 LR - 20230124 IS - 1600-6143 (Electronic) IS - 1600-6135 (Linking) VI - 8 IP - 11 DP - 2008 Nov TI - mTOR, cancer and transplantation. PG - 2212-8 LID - 10.1111/j.1600-6143.2008.02391.x [doi] AB - One of the most clinically important molecular signalling networks to emerge over the past decade is the mammalian target of rapamycin (mTOR) pathway. mTOR, the protein kinase at the core of this intricate and continually evolving pathway, controls cellular growth and behavior, impacting vital processes from immune reactivity to cancer progression. As researchers, surgeons and physicians in the field of organ transplantation, we have acquired a keen interest in regulating mTOR activity, because this molecule is not only able to block IL-2 signalling in T cells, and thus alloimmune reactivity, it is a critical part of the cellular circuitry which is often constitutively activated in neoplastic cells, leading to the all-too-often occurrence of cancer. Since allograft rejection and the development of cancer lead most lists for causing excess morbidity and mortality in our organ transplant population, a thorough and current understanding of the mTOR pathway becomes essential. In this review, we endeavor to unravel the latest molecular developments in mTOR signalling and use this basic knowledge to generate perspectives on how pharmacologic mTOR intervention may form a balance to impact long-term antidonor immune responses and the development of malignancy in transplant recipients. FAU - Geissler, Edward K AU - Geissler EK AD - Department for Surgery, University of Regensburg, Regensburg, Germany. edward.geissler@klinik.uni-regensburg.de FAU - Schlitt, Hans J AU - Schlitt HJ FAU - Thomas, George AU - Thomas G LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20080910 PL - United States TA - Am J Transplant JT - American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons JID - 100968638 RN - 0 (CRTC2 protein, human) RN - 0 (Interleukin-2) RN - 0 (Multiprotein Complexes) RN - 0 (Proteins) RN - 0 (Transcription Factors) RN - EC 2.7.- (Protein Kinases) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (Mechanistic Target of Rapamycin Complex 1) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) SB - IM MH - Animals MH - Disease Progression MH - *Gene Expression Regulation, Neoplastic MH - Graft Rejection MH - Humans MH - Interleukin-2/metabolism MH - Mechanistic Target of Rapamycin Complex 1 MH - Models, Biological MH - Multiprotein Complexes MH - Neoplasms/*complications/*etiology/metabolism MH - Neovascularization, Pathologic MH - Organ Transplantation/*adverse effects MH - Protein Kinases/*physiology MH - Proteins MH - Signal Transduction MH - T-Lymphocytes/metabolism MH - TOR Serine-Threonine Kinases MH - Transcription Factors/metabolism RF - 35 EDAT- 2008/09/13 09:00 MHDA- 2009/03/27 09:00 CRDT- 2008/09/13 09:00 PHST- 2008/09/13 09:00 [pubmed] PHST- 2009/03/27 09:00 [medline] PHST- 2008/09/13 09:00 [entrez] AID - S1600-6135(22)02984-7 [pii] AID - 10.1111/j.1600-6143.2008.02391.x [doi] PST - ppublish SO - Am J Transplant. 2008 Nov;8(11):2212-8. doi: 10.1111/j.1600-6143.2008.02391.x. Epub 2008 Sep 10.